Individual
KENDRIC WILLIAMS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5734 N 60TH ST, MILWAUKEE, WI 53218-2039
(414) 477-1055
Mailing address
5734 N 60TH ST, MILWAUKEE, WI 53218-2039
(414) 477-1055
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
02/04/2016
Last updated
02/04/2016
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